| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.55 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $822.76 | $960.41 | $1,308.33 | |
Health Alliance Plan
| Facility | $97.03 | $2,056.00 | $4,933.00 | |
United
| Facility | $773.00 | $3,005.00 | $4,504.00 |